Valley New York Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SL3705 Issued in CA

Legal business name

VALLEY NEW YORK OPTICAL

Practice address

17635-B Sherman Way
Van Nuys, CA 91406

Phone

(818) 344-9007

Fax

(818) 708-0047

NPI assigned

Feb 23, 2007

Last updated

Sep 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hae Kyong Lee

Title

Owner

Phone

(818) 344-9009

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1912033234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17635-B SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-344-9007",
            "fax_number": "818-708-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17635-B SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-344-9007",
            "fax_number": "818-708-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEW YORK OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HAE",
        "authorized_official_middle_name": "KYONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-344-9009"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.